2,000 fewer nursing beds among top 10 nonprofit nursing providers


The 10 largest nonprofit multi-site senior living organizations operated nearly 2,000 fewer nursing beds at the end of 2021, compared to the end of 2020.

That’s according to the 2022 LeadingAge Ziegler 200 report. The report lists the largest nonprofit systems providing aging services through senior living facilities in the United States, in order of total number of units owned at the market rate, as of December 31, 2021.

“Over the past 10 years, the average annual growth rate of total units is 2.7%, with growth in independent living and assisted living each year, but a decline in the number of nursing beds. nursing,” the report said. “Memory care units are becoming an increasingly important component of annual unit counts, with 64% of LZ 200s offering specialist memory care units.”

The top 10 nonprofit senior living operators in the latest report, ranked by nursing beds, are:

  • The Evangelical Lutheran Society of Good Samaritans – 8,452 nursing beds
  • Ascension Living – 3,689 nursing beds
  • The Carmelite System, Inc. – 2,349 nursing beds
  • Bénédictine – 2,128 medical beds
  • Trinity Health Senior Communities – 2,029 nursing beds
  • ArchCare – 1,723 care beds
  • Presbyterian Homes and Services – 1,572 nursing beds
  • Acts Retirement Services, Inc. – 1,526 nursing beds
  • Christian Horizons – 1,486 care beds
  • Cassia – 1,380 medical beds

The total number of care beds among these providers was 26,424. This compares to 28,418 beds among providers on the 2021 version of these rankings.

More recent declines in nursing beds may be linked to staffing shortages, as 18.6% of nursing homes report a shortage of nurses and 19.6% report a shortage of aides, according to a FitchRatings report on life plan communities released earlier this week.

“The LPCs [life plan communities] can use a variety of longer-term strategies to address work challenges,” Fitch said in the report. “These include resizing skilled nursing beds to levels appropriate to available staff and the needs of in-house residents, increased investment in IL and AL/memory care, which require fewer staff, have a better payer mix (these service lines are largely privately paid), and capitalize on national demographic shifts and senior consumers’ preference for aging in place. »

About 8% of all nursing facilities reported bed reductions as of Oct. 2, 2022, compared to May 24, 2020, according to Fitch’s analysis.

By total units, the largest nonprofit senior housing and care provider on the LeadingAge/Ziegler list is National Senior Campuses, with 21,753 units. Of these, approximately 19,000 live independently.


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